Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis

Purpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical in...

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Main Authors: Jungyo Suh, Khae Hawn Kim, Sang Heon Lee, Hyung Suk Kim, Young Ju Lee, Sang Rim Lee, Chang Wook Jeong
Format: Article
Language:English
Published: Korean Urological Association 2017-07-01
Series:Investigative and Clinical Urology
Subjects:
Online Access:https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-281.pdf
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spelling doaj-24d9ce0fc4014f77a7fa55d8e3bc77d62020-11-24T22:29:13ZengKorean Urological AssociationInvestigative and Clinical Urology2466-04932466-054X2017-07-0158428128810.4111/icu.2017.58.4.281Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysisJungyo Suh0Khae Hawn Kim1Sang Heon Lee2Hyung Suk Kim3Young Ju Lee4Sang Rim Lee5Chang Wook Jeong6Seoul National University College of MedicineGachon University Gil Medical CenterSeoul National University College of MedicineDongguk University Ilsan Medical CenterSeoul National University College of MedicineSeoul National University College of NursingSeoul National University College of MedicinePurpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical insurance data of 1 million people from 2002 to 2013. The prevalence, prescription rate, and complication incidence of urologic disease in geriatric hospitals were compared with similar-sized general hospitals. We analyzed the changes that followed the adoption of the fixed sum medical fee per day for geriatric hospitals, which began in January 2008. Subgroup analysis was conducted in an elderly group and a propensity score matching (PSM) group. Results: During this time, the number of geriatric hospitals exponentially increased over general hospitals (675.5%/y vs. 30.9%/y). The prevalence, prescription rate, and complication incidence of urologic disease was higher in geriatric hospitals than in general hospitals (2.1, 1.8, and 1.4 times higher). In the elderly group, the prevalence of urologic disorders was higher in geriatric hospitals than in general hospitals, but the prescription rate was lower (26.5% vs. 19.9% and 6.8% vs. 10.0%). This tendency also founded in the PSM analysis. After the medical fee system changed, diagnosis and prescription rates decreased in geriatric hospitals but increased in general hospitals. Conclusions: Urologic diseases are more prevalent yet management has some problem in geriatric hospitals. Lack of institutional urologists and changes in the medical payment system should be associated with this problem. Additional study and political support are needed to overcome this issue.https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-281.pdfCohort studies; Health services for the aged; Physicians’ practice patterns; Propensity score; Urologic diseases
collection DOAJ
language English
format Article
sources DOAJ
author Jungyo Suh
Khae Hawn Kim
Sang Heon Lee
Hyung Suk Kim
Young Ju Lee
Sang Rim Lee
Chang Wook Jeong
spellingShingle Jungyo Suh
Khae Hawn Kim
Sang Heon Lee
Hyung Suk Kim
Young Ju Lee
Sang Rim Lee
Chang Wook Jeong
Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
Investigative and Clinical Urology
Cohort studies; Health services for the aged; Physicians’ practice patterns; Propensity score; Urologic diseases
author_facet Jungyo Suh
Khae Hawn Kim
Sang Heon Lee
Hyung Suk Kim
Young Ju Lee
Sang Rim Lee
Chang Wook Jeong
author_sort Jungyo Suh
title Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
title_short Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
title_full Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
title_fullStr Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
title_full_unstemmed Prevalence and management status of urologic disease in geriatric hospitals in South Korea: A population-based analysis
title_sort prevalence and management status of urologic disease in geriatric hospitals in south korea: a population-based analysis
publisher Korean Urological Association
series Investigative and Clinical Urology
issn 2466-0493
2466-054X
publishDate 2017-07-01
description Purpose: This study aimed to investigate the prevalence and management status of urologic disease in geriatric hospitals in Korea. Materials and Methods: We conducted population-based analyzed using cohort established by the National Health Insurance Service of Korea, which contains the medical insurance data of 1 million people from 2002 to 2013. The prevalence, prescription rate, and complication incidence of urologic disease in geriatric hospitals were compared with similar-sized general hospitals. We analyzed the changes that followed the adoption of the fixed sum medical fee per day for geriatric hospitals, which began in January 2008. Subgroup analysis was conducted in an elderly group and a propensity score matching (PSM) group. Results: During this time, the number of geriatric hospitals exponentially increased over general hospitals (675.5%/y vs. 30.9%/y). The prevalence, prescription rate, and complication incidence of urologic disease was higher in geriatric hospitals than in general hospitals (2.1, 1.8, and 1.4 times higher). In the elderly group, the prevalence of urologic disorders was higher in geriatric hospitals than in general hospitals, but the prescription rate was lower (26.5% vs. 19.9% and 6.8% vs. 10.0%). This tendency also founded in the PSM analysis. After the medical fee system changed, diagnosis and prescription rates decreased in geriatric hospitals but increased in general hospitals. Conclusions: Urologic diseases are more prevalent yet management has some problem in geriatric hospitals. Lack of institutional urologists and changes in the medical payment system should be associated with this problem. Additional study and political support are needed to overcome this issue.
topic Cohort studies; Health services for the aged; Physicians’ practice patterns; Propensity score; Urologic diseases
url https://www.icurology.org/Synapse/Data/PDFData/2020ICU/icu-58-281.pdf
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